Individual
MRS. JENNIFER R KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
103 S MAIN ST, GREEN MOUNTAIN PHYSICAL THERAPY LNC, W LEBANON, NH 03784
(603) 298-5595
(603) 298-5205
Mailing address
110 DOTHAN ST, WHITE RIVER JUNCTION, VT 05001
(802) 295-6350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NH0662
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y009017NH01
BCBS
NH
Enumeration date
10/17/2006
Last updated
07/08/2007
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